I Can See Health

Wang Xiaodong stood up immediately and ran out of the office.

When Lu Chen saw this, he followed the opportunity.

This is the first time for Cheng Peng and Xiao Lin to come to the emergency department. When have they ever seen such a battle?

The two of them were stunned for a moment, and then ran out following Lu Chen's footsteps.

…

Lu Chen followed Wang Xiaodong to the emergency room of the emergency ward.

"How is the patient?"

As soon as he entered the rescue room, Wang Xiaodong asked.

The nurse next to the ward immediately said: "A couple each drank a bottle of dichlorvos, which was transferred from the hospital below!"

At this time, Lu Chen also came to the bedside.

At this moment, the woman's health value is 36, while the man's health value is 52.

In addition, there was a medical record from a local hospital on the bedside, and Lu Chen quickly took out the medical record.

All the information about the two patients also appeared in front of Lu Chen.

About an hour ago, the two patients were found lying unconscious at home.

Beside them were two empty bottles of dichlorvos.

Dichlorvos (ddvp) is an organic compound and is an organophosphorus pesticide.

The family members immediately called 120 and went to the local hospital for gastric lavage, endotracheal intubation, ventilator-assisted ventilation, and treatments such as pralidoxime iodide 1.5g and atropin.

After the man was intubated, his consciousness returned, but he was still agitated.

The woman suddenly suffered respiratory and cardiac arrest on the way and recovered after being given chest compressions for about 10 minutes.

Next, treatment measures such as hemoperfusion were needed. For further treatment, he was transferred to the emergency department of Jinghua Second Hospital.

…

Lu Chen immediately told Wang Xiaodong all the medical history information he had learned.

Wang Xiaodong nodded and immediately stepped forward to conduct a preliminary physical examination on the two of them.

Both patients underwent tracheal intubation.

The man's consciousness has awakened, but the woman is still in a coma.

"Nurse, give the patient an urgent blood test immediately, a routine set, and also check the blood gas analysis and cholinesterase!" Wang Xiaodong ordered.

"Received!" Gong Nannan nodded.

At this time, the man's consciousness recovered, but his mood was particularly irritable.

"The man has obvious rales in both lungs!" Wang Xiaodong frowned, "Use one Changtonin and one Atropine immediately."

"Got it, one longtonin for intramuscular injection and one atropine for intravenous injection."

"Open another intravenous line, hang pralidoxime iodide, and then use medicinal charcoal and mannitol."

On the other hand, women’s situation is much more serious than men’s.

Not only did she not wake up, but her vital signs were extremely unstable, with a heart rate of 60 beats/min and a blood pressure of 85/54mmhg.

"Both of them must prepare for blood perfusion!"

Although men are doing relatively well, they are not immune to the development of delayed-onset polyneuropathy!

Wang Xiaodong did not dare to relax at all!

The rescue is proceeding in an orderly manner...

…

With Lu Chen's assistance, Wang Xiaodong's rescue process went smoothly.

This kind of rescue does not mean that the more people, the better. Too many people will affect the efficiency.

So Cheng Peng and Xiao Lin stood aside, staring blankly at Lu Chen and Wang Xiaodong's rescue efforts.

Wang Xiaodong's performance was quite satisfactory, with nothing to say.

But as a newcomer to the emergency department, how could Lu Chen be so familiar with the rescue process?

…

At this moment, Lu Chen noticed that the woman's heart rate was slowing down!

"Senior Brother Wang, look at this female patient..."

Wang Xiaodong was shocked and looked at the female patient's ECG monitor.

Her heart rate went from 60 beats/min, to 50 beats/min, and finally dropped to 45 beats/min.

In Lu Chen's eyes, her health points were also slowly declining, from 36 before to 32.

Wang Xiaodong said in a deep voice: "Immediately give 250ml of sodium bicarbonate intravenously and 5mg of atropine intravenously!"

Atropine works very quickly. Basically, the heart rate will rise as soon as it is given intravenously.

But for this female patient, after intravenous injection of atropine, the patient's heart rate did not increase significantly!

At this time, the female patient’s blood oxygen saturation was only 80%!

"Ready to get on the plane!"

Wang Xiaodong immediately placed a hemofiltration tube.

However, what no one expected was that after the female patient got on the machine, her heart rate continued to drop!

"Fuck, I can't keep it up!" Wang Xiaodong cursed secretly.

…

"Heart has stopped!" Lu Chen suddenly shouted. He kept paying attention to the electrocardiogram monitor on the bedside.

He was closest to the hospital bed and immediately stepped forward to perform chest compressions.

Wang Xiaodong kept urging the nurse: "Keep pushing atropine, keep pushing!"

Atropine 5mg, 5mg, 5mg, 5mg intravenously...

Lu Chen pressed the bedside for about ten minutes. The patient's heart rate returned to sinus and the blood pressure was 101/90.

"Give 4g of pralidoxime iodide by slow intravenous infusion." Wang Xiaodong ordered.

Lu Chen also breathed a sigh of relief, but his heart was still tightly tied and he didn't dare to relax.

"Adjust the ventilator parameters, peep to 7, frequency to 17, tidal volume to 550ml." Wang Xiaodong began to adjust the ventilator.

The purpose of this is to increase minute ventilation and promote the discharge of carbon dioxide, but the dead space will increase and is not conducive to the discharge of carbon dioxide because the exhalation time is sacrificed.

At this time, the laboratory indicators for the patient's emergency examination came out.

The cholinesterase of both men and women was less than the minimum value. The liver function of the woman was 1010, 999, and 11.1 for lactic acid. Other tests for both men and women were normal.

Wang Xiaodong said: "Let's leave it like this for now! It is escorted by a blood filtration machine and can be stabilized under high replacement conditions."

At this time, the patient's blood oxygen saturation was always 100%.

Everyone present breathed a sigh of relief.

3 hours after the female patient got on the machine.

The patient's lactate dropped to 5.0, pH stabilized at 7.17, and partial pressure of carbon dioxide dropped to 56!

The cholinesterase was retested every hour and was always lower than the minimum value. The patient's heart rate has been stable at around 120.

A great scene!

“It feels like the patient is coming back!”

So happy!

Lu Chen stood beside the patient's bed and saw that the patient's blood pressure and blood oxygen saturation could not be measured!

His expression changed, and he immediately auscultated the patient's lungs and found that the rales increased.

Does the patient’s heart rate not drop?

But the blood pressure and blood oxygen saturation cannot be measured first?

I ordered norepinephrine 18mg, UU read www.uukanshu.net micro pump, the first recommended is 5ml, it doesn’t work!

Administer 5 mg of atropine intravenously! invalid

I ordered 10 mg of atropine intravenously, but it didn’t work!

I ordered 5 mg of atropine intravenously, but it didn’t work!

After improving the blood gas, the lactic acid rose to 11, the partial pressure of carbon dioxide rose again to 90mmhg, ph7.06!

With void, void, void.

Continue to advise, 2mg long-term and stable recommendation!

After about 3 minutes, the patient's blood pressure can be measured! 50/30, blood oxygen saturation 100, blood oxygen saturation is a normal ripple, proven to be real and effective!

Advise Changtonin 4mg intravenously!

The patient's blood pressure rose to 107/90, and his blood oxygen saturation was 100!

Or too little atropine!

Immediately ordered 50mg atropine micropump 25ml per hour, so the classic scene of rescuing organophosphorus pesticides appeared.

One person gives the doctor's orders, and three people break the atropine! Soon the emergency pharmacy ran out of 260 tubes of atropine!

Atropine is fixed at 25mg per hour, norepinephrine is 18mg25ml/h, the blood pressure can be stabilized, and the partial pressure of carbon dioxide is reduced to 50mmhg!